Provider Demographics
NPI:1205182706
Name:PURE HEARING
Entity Type:Organization
Organization Name:PURE HEARING
Other - Org Name:FOREFRONT SOLUTIONS
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JORDAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BIGLER
Authorized Official - Suffix:
Authorized Official - Credentials:BS/BC-HIS
Authorized Official - Phone:801-784-6900
Mailing Address - Street 1:1818 W 5150 S
Mailing Address - Street 2:
Mailing Address - City:ROY
Mailing Address - State:UT
Mailing Address - Zip Code:84067-3060
Mailing Address - Country:US
Mailing Address - Phone:801-784-6900
Mailing Address - Fax:866-365-1751
Practice Address - Street 1:1818 W 5150 S
Practice Address - Street 2:
Practice Address - City:ROY
Practice Address - State:UT
Practice Address - Zip Code:84067-3060
Practice Address - Country:US
Practice Address - Phone:801-784-6900
Practice Address - Fax:866-365-1751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-02
Last Update Date:2015-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6363387-4601332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment